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DSE Self Assessment

Question 1:  Do you use DSE in your work on a daily basis?

Yes

No

Question 2:  Do you use DSE for continuous or near continuous spells of two house or more at a time?

Yes

No

If answers No to both of these can the questions then end?

Question 3:  Does the majority of your display screen work involve the use of a standalone portable laptop computer?

Yes

No

Screen

Question 4:  Is your screen located in front of you when using the equipment?

Yes

No

Comment

Question 5:  Is the top of your screen level with your eyes?

Yes

No

Comment

Question 6:  Can your screen tilt and be adjusted to a comfortable position?

Yes

No

Comment

Question 7:  Is your screen free of reflection? E.g. windows, overhead lighting?

Yes

No

Comment

Keyboard

Question 8:  Can your keyboard be moved to a comfortable position in front of you?

Yes

No

Comment

Question 9:  Is there enough room in front of the keyboard to rest your wrists when using your keyboard?

Yes

No

Comment

Question 10:  Are your keyboard symbols clear and legible?

Yes

No

Comment

Mouse

Question 11:  Can you operate the mouse / trackball without stretching?

Yes

No

Comment

Question 12:  Can you operate the mouse / trackball with your hand / wrist resting on your desk?

Yes

No

Comment

Question 13:  Is there adequate space to manoeuvre your mouse?

Yes

No

Comment

Chair

Question 14:  Is the height of your chair adjustable?

Yes

No

Comment

Question 15:  Is the backrest adjustable for height and tilt?

Yes

No

Comment

Question 16:  Do you know how to adjust the height of your chair? Backrest?

Yes

No

Comment

Question 17:  Is your chair fitted with arms?

Yes

No

Comment

Question 18:  If your chair is fitted with arms…. When your chair is correctly adjusted do the arms come into contact with the desk?

Yes

No

Not Applicable

Work Station

 Question 19:  Is there adequate work surface to allow flexible arrangement for your screen, keyboard and mouse?

Yes

No

Comment

Question 20:  s there adequate knee room to obtain a comfortable position?

Yes

No

Comment

Question 21:  Do you have adequate lighting?

Yes

No

Comment

Question 22:  Do you have adequate humidity in the atmosphere?

Yes

No

Comment

Question 23: Is your work arranged so that there are breaks away from DSE?

Yes

No

Comment

Question 24:  When positioned to use the keyboard are your upper arms in line with your upper body?

Yes

No

Comment

Question 25:  With your fingers on the keys are your wrists straight?

Yes

No

Comment

Question 26:  When in this position is your back supported by your backrest?

Yes

No

Comment

Question 27:  Do your feet rest comfortably on the floor without the seat digging into the back of your knees/thighs?

Yes

No

Comment

Your Health

 Question 28

Have you had your eyes tested for use with DSE?

Yes

No

Comment

Question 29:  Have you ever suffered from work related aches or pains in your:

Wrists

Forearms

Neck

Eyes

Back

Question 30:  Have you ever suffered from epilepsy or regular migraines?

Yes

No

Comment

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